| NPI | 1225519457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BAWUAH CEO 714-713-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2018-08-25 |